POS1186-HPR INVESTIGATION OF THE RELATIONSHIP BETWEEN ARTIFICIAL JOINT AWARENESS AND EMOTIONAL STATUS IN PATIENTS WITH TOTAL HIP ARTHROPLASTY
Authors: A. Özçadirci, O. Caglar, G. Coşkun
Journal: Annals of the Rheumatic Diseases (2023)

<h3>Background</h3> Patient-reported outcome measures, including joint-specific parameters of activities of daily living, such as joint awareness, are increasingly recognized as an important part of post-surgical outcome assessment [1]. <h3>Objectives</h3> The aim of this study was to examine the relationship between artificial joint awareness and emotional status in patients who have undergone total hip arthroplasty (THA) surgery. <h3>Methods</h3> In this study, volunteer patients aged between 40-65 years who had undergone THA surgery and at least 1, a maximum 3 years after surgery were included. Artificial joint awareness was evaluated with the Forgotten Joint Score-12 (FJS-12) scale. It is a scale that questions awareness of artificial joint during various daily living activities from the patient's perspective in order to determine the ability of patients to forget artificial hip joints after THA surgery [2]. High scores indicate how much (%) the patient can forget the operated side of the patient and adapt to their life. In other words, a high score indicates a high degree of "forgetting" the artificial joint – i.e. a low degree of awareness. A 5-point Likert system is used in the scoring. The emotional status of patients was determined by Hospital Anxiety and Depression Scale (HADS). It includes anxiety (HADS-A) and depression (HADS-D) subscales. It consists of a total of 14 items, 7 of which are about anxiety and 7 of which are investigating symptoms of depression [3]. Pearson correlation analysis was used according to distribution of the data to determine relationship between the variables. The significance level was accepted as p&lt;0.05. <h3>Results</h3> Sixty patients with THA, aged 53.46±7.9 years, were included in the study. Mean FJS-12, HADS-A, and HADS-D scores were 32.68±6.54, 7.27±3.2, and 5.27±2.5, respectively. A moderately and statistically significant correlation was found between FJS-12 and HADS-A and HADS-D (r=0.466, p=0.004; r=0.483, p=0.003 respectively). <h3>Conclusion</h3> The results of the current study showed that the adaptation of the artificial limb to daily life is poor and was correlated with emotional status. These results may show that worsening of patients' emotional status may contribute to development of artificial joint awareness. Therefore, also take into consideration the emotional state of patients with THA while applying therapeutic approaches aiming to decrease awareness of artificial joint and increase adaptation of artificial limb to daily life may increase the effectiveness of rehabilitation. <h3>References</h3> [1] Olver J. Do patient reported outcome measures in hip and knee arthroplasty rehabilitation have robust measurement attributes? A systematic review. 2011. [2] Behrend H, Giesinger K, Giesinger JM, Kuster MS. The "forgotten joint" as the ultimate goal in joint arthroplasty: validation of a new patient-reported outcome measure. The Journal of arthroplasty. 2012;27(3):430-6. e1. [3] Covic T, Cumming SR, Pallant JF, Manolios N, Emery P, Conaghan PG, et al. Depression and anxiety in patients with rheumatoid arthritis: prevalence rates based on a comparison of the Depression, Anxiety and Stress Scale (DASS) and the hospital, Anxiety and Depression Scale (HADS). BMC psychiatry. 2012;12(1):6. <h3>Acknowledgements:</h3> NIL. <h3>Disclosure of Interests</h3> None Declared.